Individual
JENNIFER KAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
18515 PEACEFUL PINES RD, MONUMENT, CO 80132-8368
(720) 490-2071
Mailing address
18515 PEACEFUL PINES RD, MONUMENT, CO 80132-8368
(720) 490-2071
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
0993092
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
0993092
CO
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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